37-year-old man treated with Sclerotherapy for protruding chest veins

Protruding (varicose) chest veins is not only cosmetic issue only. 37-year-old electrician has been seen for right upper arm/chest heaviness, fatigue during his physical activities that would affect his daily living. Previous complete workup completely ruled out intra-thoracic or musculo-skeletal disorder. Complete symptoms resolution after 2 sessions of surface sclerotherapy of chest veins using 1% Asclera (polidocanol).